Infected aortic pseudoaneurysm repair using autologous common femoral artery patch and fascia

Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1487-1491. doi: 10.1007/s11748-020-01310-9. Epub 2020 Feb 10.

Abstract

Using autologous common femoral artery and external oblique muscle fascia is a simple and reliable option for repairing infected aortic pseudoaneurysms. Reoperation of infected pseudoaneurysms is challenging and requires secure aortic repair with complete infection eradication. Here, we report two cases of infected pseudoaneurysms in the ascending aorta cannulation site after cardiac surgeries. Common femoral arteries and fascia were harvested in the same lesion as repair materials. The aortic pseudoaneurysms were repaired under deep hypothermic circulatory arrest. Femoral arterial patches were reinforced with circumferential aponeurosis strips. There was no infection recurrence or repair site dilatation in the long-term follow up of both patients.

Keywords: Arterial patch repair; Autologous tissue; Infected aortic pseudoaneurysm; Surgical treatment.

MeSH terms

  • Aneurysm, False* / diagnostic imaging
  • Aneurysm, False* / etiology
  • Aneurysm, False* / surgery
  • Fascia
  • Femoral Artery* / diagnostic imaging
  • Femoral Artery* / surgery
  • Humans
  • Reoperation
  • Vascular Surgical Procedures